Individual
SHELLY NICOLE BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS 66227-7268
(913) 677-6319
Mailing address
23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS 66227-7268
(913) 677-6319
(913) 677-1540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03528
KS
225100000X
Physical Therapist
2006006002
MO
Other
Enumeration date
04/12/2007
Last updated
09/04/2023
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